NPI | 1306656111 |
---|---|
Doing Business As | MATTHEW BRACKMAN MD |
Entity Type | Organization |
Authorized Contact | MATTHEW BRACKMAN Owner 941-806-9381 |
Organization Subpart ? | No |
Primary Taxonomy | 208600000X Surgery |
Enumeration Date | 2025-01-13 |
Last Update Date | 2025-01-13 |